GREGORY A. OTTERSON (NPI# 1215945548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215945548 |
| Entity Type | Individual |
| Full Name | GREGORY A. OTTERSON |
| Credential | M.D. |
| Practice Address |
300 W 10th Ave Columbus OH 43210-1280 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
| Practice Telephone | 6142938619 |
| Practice Fax Number | 6142936420 |
| Mailing Telephone | 6142936529 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
35.074706 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2090964 | 05 |
| Street Address |
300 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1932737400 | Antonette L. Hardie | Dietitian, Registered | 300 W 10th Ave, Columbus, OH 43210-1280 | 2020-03-31 |
| 1477194835 | Timothy Brooks Phillips | Clinical Nurse Specialist | 300 W 10th Ave, Columbus, OH 43210-1280 | 2019-10-07 |
| 1518448216 | Zlatina N. Wilburn | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-08-22 |
| 1477046449 | Megan Shae Gould | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-06-13 |
| 1316430648 | Anne Darci Wolfe | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-06-12 |
| 1265959639 | Danielle O'connell | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-08-27 |
| 1174043731 | Martha S. Lewis-hanna | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-06-26 |
| 1881133486 | Samantha Leigh Clements | Physician Assistant | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-02-15 |
| 1447796602 | Paul B. Cleland | Physician Assistant | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149826 | David Benjamin | Internal Medicine | 263 S Cassady Ave, Columbus, OH 43209-1721 | 2013-03-28 |
| 1033273040 | Erin Renee Macrae | Internal Medicine | 810 Jasonway Ave Ste A, Columbus, OH 43214-4359 | 2006-12-21 |
| 1871568444 | Joanne M. Jeter | Internal Medicine | 2001 Polaris Pkwy, Columbus, OH 43240-2000 | 2006-02-17 |
| 1619973864 | John P Kuebler | Internal Medicine | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2005-06-22 |
| 1932623238 | Sabrina N. Powers | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210 | 2017-07-28 |
| 1386166338 | Adeel Arshad | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-07-12 |
| 1255866679 | Chunjie Li | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-04-24 |
| 1467848010 | Abdul R. Miah | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210 | 2015-04-10 |
| 1659788800 | Vineeth K. Sukrithan | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2014-07-21 |
| 1811303001 | Ashish Manne | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2014-07-08 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.